Contributors: Laboratoire de Psychologie Sociale et Cognitive (LAPSCO); Université Clermont Auvergne 2017-2020 (UCA 2017-2020 )-Centre National de la Recherche Scientifique (CNRS); Service Santé Travail Environnement CHU Clermont-Ferrand; CHU Gabriel Montpied Clermont-Ferrand; CHU Clermont-Ferrand-CHU Clermont-Ferrand; WittyFit; Australian Catholic University (ACU); Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ); Unité de Biostatistiques CHU Clermont-Ferrand; Direction de la recherche clinique et de l’innovation CHU Clermont-Ferrand (DRCI); Pôle Urgences CHU Clermont-Ferrand; Laboratoire de Psychologie et NeuroCognition (LPNC ); Université Savoie Mont Blanc (USMB Université de Savoie Université de Chambéry )-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes 2016-2019 (UGA 2016-2019 ); Institut universitaire de France (IUF); Ministère de l'Education nationale, de l’Enseignement supérieur et de la Recherche (M.E.N.E.S.R.); Centre for Health and Exercise Science Research, Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong; Institut de Recherche Biomédicale des Armées, Département Neurosciences et Contraintes Opérationnelles, Unité de Neurophysiologie du Stress, 92123 Brétignysur- Orge cedex, France (IRBA); Institut de Recherche Biomédicale des Armées, Département Neurosciences et Contraintes Opérationnelles, Unité de Neurophysiologie du Stress; Dynamique des capacités humaines et des conduites de santé (EPSYLON); Université Montpellier 1 (UM1)-Université Paul-Valéry - Montpellier 3 (UPVM)-Université de Montpellier (UM); CHU Montpellier; Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier); Service d'Ophtalmologie CHU Clermont-Ferrand
نبذة مختصرة : International audience ; Background : Medical-related professions are at high suicide risk. However, data are contradictory andcomparisons were not made between gender, occupation and specialties, epochs of times.Thus, we conducted a systematic review and meta-analysis on suicide risk among healthcare workers.Method : The PubMed, Cochrane Library, Science Direct and Embase databases were searchedwithout language restriction on April 2019, with the following keywords: suicide* AND(« health care worker* » OR physician* OR nurse*). When possible, we stratified results bygender, countries, time, and specialties. Estimates were pooled using random-effect metaanalysis. Differences by study-level characteristics were estimated using stratified metaanalysis and meta-regression. Suicides, suicidal attempts, and suicidal ideation wereretrieved from national or local specific registers or case records. In addition, suicideattempts and suicidal ideation were also retrieved from questionnaires (paper or internet).Results : The overall SMR for suicide in physicians was 1.44 (95CI 1.16, 1.72) with an important heterogeneity (I2 = 93.9%, p<0.001). Female were at higher risk (SMR = 1.9; 95CI 1.49, 2.58;and ES = 0.67; 95CI 0.19, 1.14; p<0.001 compared to male). US physicians were at higherrisk (ES = 1.34; 95CI 1.28, 1.55; p <0.001 vs Rest of the world). Suicide decreased overtime, especially in Europe (ES = -0.18; 95CI -0.37, -0.01; p = 0.044). Some specialties mightbe at higher risk such as anesthesiologists, psychiatrists, general practitioners and generalsurgeons. There were 1.0% (95CI 1.0, 2.0; p<0.001) of suicide attempts and 17% (95CI 12,21; p<0.001) of suicidal ideation in physicians. Insufficient data precluded meta-analysis onother health-care workers.Conclusion : Physicians are an at-risk profession of suicide, with women particularly at risk. The rate ofsuicide in physicians decreased over time, especially in Europe. The high prevalence of physicians who committed suicide attempt as well as those with ...
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